Who we are
Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees!
Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients.
Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families
Revenue Cycle Management Specialist
Lorian has been serving patients and healthcare communities within the counties of San Diego, Orange, Riverside, and San Bernardino, California, and Clark County Nevada for the past two decades. This family owned company is growing, and currently employs a staff of just under 200 including field nurses and therapists, billing specialists, operations personnel, sales and business development professionals.
We offer a comprehensive employee benefits package that includes, but is not limited to:

• Health, Dental, Vision, 401K
• Competitive pay
• Paid vacation, holidays, and sick leave

Job Summary:

The Revenue Cycle Management Specialist works in conjunction with every department within the organization, customers and patients from the beginning of the patients care to the end of the patients care to ensure full payment of services provided. This position requires attention to customer service, basic accounting concepts, and fluid knowledge of Microsoft excel. This position can lead to administrative employment growth for those who excel and exhibit leadership ability.

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Responsibilities:*

• Claim generation
• Perform claim audit
• Submission of clean claim via mail and or electronically

• Payer verification/Authorization
• Obtain eligibility and authorization from various contracted payers throughout patients care
• Create Letter of agreements for non-contracted payers

• Collections
• Maintain and manage revenue aging
• Correct claim denials
• Posting payments and adjustments

• Cash flow projection
• Maintain and manage schedule of future payment dates

• Medical Records management
• Review patient medical record for missing documentation such as orders or visit notes
• Communication between clinical field staff for missing or document correction(s)
• Communication between doctors’ offices, hospitals and facilities for missing or document correction(s)
• Fulfill medical record request from court ordered subpoenas, doctors offices, patient family, and or facilities

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Work Environment*

• Professional Office Environment

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Equipment Used*

• Computer
• Phone
• 10 key calculator

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
Required Education and Experience

• Successful completion of high school or GED
• Minimum typing WPM 40+
• 2 years office experience and or work history
• Strong knowledge of Microsoft systems (i.e. Word, Excel, Outlook, etc)
• Strong organizational, interpersonal and communication (both written and verbal) skills, and good phone etiquette.
• Maintains confidential patient records in accordance with privacy and security standards of the Health Insurance Portability and Accountability Act (HIPAA) and other applicable state laws.
• Ability to work under stress with interruptions and deadlines.
• Ability to follow complex instructions.
• High-energy and detail-oriented.

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Additional Desired Qualifications*

• Familiarity with billing form UB04 preferred.
• Have knowledge of insurance carrier billing requirements.
• Bachelor’s Degree
• Electronic Medical Record experience (specifically Home Care Home Base)
• Home Health and or Hospice experience
• Accounting experience

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Physical Requirements*

• Subject to sitting for long periods of time.

Job Type: Full-time

Pay: $17.00 - $26.00 per hour

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